Amy Lee Vanblaricom

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00035418 Issued in WA

Practice address

Uwmc-Roosevelt
4245 Roosevelt Way NE
Seattle, WA 98105-4765

Phone

(206) 598-5500

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Obhg Washington, PC

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
  • NPI 1962729525
  Medicare reassignment NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bremerton, WA
  • NPI 1982654182

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Port Orchard, WA
  • NPI 1205886934

  Obstetrics & Gynecology

  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Poulsbo, WA
  • NPI 1831912021
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1538248299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR",
            "address_2": "SUITE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600900",
            "telephone_number": "949-706-0181",
            "fax_number": "949-706-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UWMC-ROOSEVELT",
            "address_2": "4245 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054765",
            "telephone_number": "206-598-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBLARICOM",
        "first_name": "AMY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00035418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "3090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8216145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khanh Linh Lindsey Van, ARNP
• Kimmy Van
• Lily Van, PHARMD
• Phuong Van, MD
• Johanna H Vanbelle, M.D.
• Johannes G Vanbuuren, PT
• Alexandra Vance, M.A., LMHC
• Ellen Belle Vance, PH.D.
• Holly L Vance, DNP, ARNP
• Melissa Vanconett

• Obstetrics & Gynecology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.